OCTOBER 30, 2005
VOLUME 2 NO. 18

PATIENTS & PRACTICE

Docs finger common ball catcher injury

Lousy mitts make receivers least durable on the diamond


Imagine a hardball hurtling towards you at 165.76km/h, with thousands of people in a stadium staring at you, expecting you to catch the bloody thing without flinching. That's what poor Atlanta Braves catcher Javy Lopez had to contend with in 1995 when ace relief pitcher Mark Wohlers launched what turned out to be the fastest pitch ever recorded right at him. With the World Series of baseball around the corner, it seems like a good time to wonder why anyone would put his inadequately padded hand in the line of such high-speed fire.

Catchers have always been deemed a breed apart; in fact, they're reputed to be the most eccentric players in a game chock-full of screwballs. Hall of Famer Johnny Bench once told his teammates in the dugout: "A catcher and his body are like the outlaw and his horse. He's got to ride that nag till it drops."

A recent study from the Journal of Bone and Joint Surgery has shown that the nag may be dropping sooner rather than later. The authors looked at the longterm damage that arises from the noble art of catching baseballs travelling at Autobahn-like speeds.

BALL GLOVES FINGERED
The study, loftily entitled "Vascular Changes of the Hand in Professional Baseball Players with Emphasis on Digital Ischemia in Catchers," examined 36 professional minor-league ball players. Among other startling findings, the investigators discovered that the index finger on the catcher's gloved hand was about two ring sizes larger than the one on their other hand. This screams repeated injury.

It turns out a catcher's mitt, unlike the gloves of other fielders, guides the ball to strike the bottom of the index finger — a blood vessel hotspot. And indeed the investigators found that catchers were also more likely to have abnormal circulation in the catching hand, and complained of more hand ailments than other position players.

The discovery of blood vessel damage in catchers' hands falls in line with the kinds of injuries that bedevil the position. Unlike pitchers, who often blow out their arm heroically, undergo ulnar collateral ligament reconstruction (better known as Tommy John surgery) and have a fighting chance at full recovery, catchers often break down slowly and permanently. Yes, these crouching tigers are defeated by attrition. Statistics mavens have long observed that catchers tend to start a precipitous decline in skills at about 30 years of age, when many other players are at their prime.

WE KNOW SQUAT
Even if you don't count any pro ballplayers among your patients, this still may concern you and your practice if you see amateur catchers: gifted high school pitchers can sometimes deliver fastballs upwards of 145km/h.

University of Toronto Sport Medicine specialist Dr Ian Cohen treats members of the school's baseball team as well as the Argonauts pro football team. He calls this study "preliminary" and adds that it "suggests that a larger, longer study might be warranted to see if there is in fact longterm consequences [to catching]." Yet he feels that, in the meantime, one should approach catching with trepidation. "I certainly would not advise players to choose a career as a catcher based on this study," he says.

That's not to say dyed in the wool catchers like Johnny Bench would listen. As a rookie, the cocksure Mr Bench once threw his mitt to the ground and caught the ball barehanded in protest of his pitcher's less-than-impressive fastball. So despite new evidence of possible dangers, for Mr Bench and many of his fellow squatters, nothing is more important than making that catch, least of all the risk of injury.

 

 

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